25 comments:

Dr. Phil
said...

I discourage lists, notebooks, multiple family memebers to cooroborate the story, etc. If you can't remember to tell me, then it must not be important! I know that there are exceptions to this rule...For example, on Januray 16, 2001 (according to my notebook)...... :)

I have funny episodes sometimes. They last about 30 seconds, and I can't really remember what goes on during that time. For all I know, I could be doing a chicken dance, or posting in a blog. So when a dipshit doctor asks me what happens during these things, I can't tell him. And if my wife isn't there, then what's the point in wasting $300? Sorry, Dr. Grumpy- (and Dr. Dick from above)- you lost me. As a patient, I would like to be treated with a little respect. (I also don't feel bad when my insurance only pays 25% of what you charged).

All over the internet, you see sites where people are told to keep track of their headaches, write them down, preferably in a spreadsheet, and bring it with them to the doctor with them. I'm surprised you don't see this more often. It actually makes sense to me as well.

The question I hate most is when was the first day of my last menstrual cycle? I'm just not that interested in remembering when it was or how many days it lasts or if it came early or late. If I wrote them down, I could give an answer to that! Instead I just answer either yesterday or 2 weeks ago.

I am not a doctor (or a clinical practitioner of any variety) but I work for a small rural Critical Access hospital in the Pacific Northwest. First, love the Blog (and a number of medical blogs) because I enjoy working with physicians, nurses, and others as the head of our emergency preparedness program. Sorry for the rambling bio, but I love stories like this one for many reasons not the least of which is that the question you asked could have been a lot more personal. "So, patient x, have you had episodes of IBS of late?" One shudders to think of how detailed his entries related to defecation might have been (and here I'm wondering if he might have told other stories with photos) in response to such a benign question. Again, great Blog!

I have had clients bring in detailed records of their cats' stool. Seems to be a cat owner thing. One even recorded weight, allowing for a certain amount of litter (literally factored in). You know these are the types to bring their pets in for a post alien abduction exam.

Scary! When people pull out notebooks like that I have to wonder if they're keeping track of me.

Occasionally I get OCD about something. Like the time I was bound and determined to lose weight and for five and half months kept track of ALL my exercise and food intake (separated into protein, fiber, saturated fat, fluids) noted in terms of caloric input. It didn't help much for the weight loss, but when I contracted hepatitis, I could tell the endocrinologist that I didn't have HAV associated with certain fast food establishments. (Maybe it was all the work in keeping track energy that wore me out.) Part of the therapy recommended was HAV, and HBV series... which I complied.

After years recovering, I realized I'd better complete any long-term career plans, so finished the didactic portion of a HCW program, and in anticipation to the final experiential assignments, sold the textbooks, tidied up drug studies, get rid of paperwork, etc. to plan for final rotations, and possibly a new job.

Health insurance and a physical were required, along with TB test and immunizations. I impressed my internist with the dates of every vaccine I'd ever had because I had been clearing out documents and paperwork and ran across shot records my mother kept--even dating to Territorial days.

Guess I'd forgotten I'd previously received the HBV series. And, just barely met timing issues prior to first assignment. The school picked up the tab. I would really have been ticked if I'd had to pay for the second series because I'd forgotten I'd had it several years before.

if he ever comes back you should ask to look at the notebook, make interest-feigning faces while flipping through it and tell him you'd like some time to *really* peruse it. then you lose it somewhere in the trash can or the paper shredder. the end.

Okay, I'm putting a brief version of my $0.02 here: don't judge a patient by their notebook. Please. I'll grant you that this guy sounded nuts, but not everyone who documents what's happening to/with their bodies is insane. Not even if his/her notes are detailed. Sometimes, if you have chronic illness, the only thing you can do to help your situation is to provide your physician with information in a manner s/he understands, which is often by quantifying it (doctors are considered scientists, after all). No rational patient enjoys keeping such records--they only do so in hope of resolution of pain &/or for survival. So to all the commentators here who care for patients, I implore you: please don't be too hasty to pass judgement. Thanks.

I work for a company that manages clinical trials and was monitoring a psych study. This site decided it would be a good idea to give each subject a diary to record taking their dose. One subject took it upon himself to write down every feeling and what he did including his episode of masturbation to completion on Christmas Eve. I was monitoring in a conference room and started laughing out loud. The study coordinator said "are you reading Subject XYZ's diary?".

Doing this job for over 15 years I should write a blog of everything I've seen and heard while in a doc's office.

Welcome to my whining!

This blog is entirely for entertainment purposes. All posts about patients may be fictional, or be my experience, or were submitted by a reader, or any combination of the above. Factual statements may or may not be accurate.

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